How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,348.96 Median $1,348.96 Typical High $1,348.96 | Facility | None | $1,348.96 | $1,348.96 | $1,348.96 |
Aetna Setting Professional Modifier None Typical Low $1,348.96 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,348.96 | $1,548.82 | $1,548.82 |
Cigna Setting Facility Modifier None Typical Low $1,819.70 Median $1,819.70 Typical High $1,819.70 | Facility | None | $1,819.70 | $1,819.70 | $1,819.70 |
Cigna Setting Professional Modifier None Typical Low $1,548.82 Median $1,548.82 Typical High $1,548.82 | Professional | None | $1,548.82 | $1,548.82 | $1,548.82 |
Medica Setting Facility Modifier None Typical Low $1,548.82 Median $1,949.84 Typical High $15,135.61 | Facility | None | $1,548.82 | $1,949.84 | $15,135.61 |
Medica Setting Professional Modifier None Typical Low $1,202.26 Median $2,089.30 Typical High $16,982.44 | Professional | None | $1,202.26 | $2,089.30 | $16,982.44 |
Medica Setting Professional Modifier RR · Rental Typical Low $389.05 Median $575.44 Typical High $831.76 | Professional | RR · Rental | $389.05 | $575.44 | $831.76 |
Medica Setting Professional Modifier UE · Used equipment Typical Low $912.01 Median $1,380.38 Typical High $1,949.84 | Professional | UE · Used equipment | $912.01 | $1,380.38 | $1,949.84 |
United Setting Facility Modifier None Typical Low $3,311.31 Median $3,311.31 Typical High $3,311.31 | Facility | None | $3,311.31 | $3,311.31 | $3,311.31 |
United Setting Professional Modifier None Typical Low $954.99 Median $1,412.54 Typical High $2,089.30 | Professional | None | $954.99 | $1,412.54 | $2,089.30 |
United Setting Professional Modifier RR · Rental Typical Low $389.05 Median $562.34 Typical High $831.76 | Professional | RR · Rental | $389.05 | $562.34 | $831.76 |
United Setting Professional Modifier UE · Used equipment Typical Low $912.01 Median $1,348.96 Typical High $1,949.84 | Professional | UE · Used equipment | $912.01 | $1,348.96 | $1,949.84 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $199.53 Median $229.09 Typical High $229.09 | Professional | 55 · Aftercare only | $199.53 | $229.09 | $229.09 |
Aetna Setting Professional Modifier KM · Facial prosthesis, new mold Typical Low $891.25 Median $891.25 Typical High $891.25 | Professional | KM · Facial prosthesis, new mold | $891.25 | $891.25 | $891.25 |
Aetna Setting Professional Modifier KN · Facial prosthesis, prior mold Typical Low $371.54 Median $371.54 Typical High $371.54 | Professional | KN · Facial prosthesis, prior mold | $371.54 | $371.54 | $371.54 |
Where Oklahoma sits
The same service costs 2.2 times more in Hawaii than in Delaware. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Oklahoma· 49th of 51
$1,585
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.